La amiodarona como causa de parálisis periódica tirotóxica hipopotasémica / Amiodarone as cause of Periodic thyrotoxic hypopotasemic paralysis

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Ginkgo biloba y hemorragia cerebral / Ginkgo biloba and cerebral hemorrhage

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Neumonía extrahospitalaria bacteriémica por Citrobacter diversus / Citrobacter diversus bacteriemic community-acquired pheumonia

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[Urinary tract infection and antibiotic sensitivity in the south of Albacete, Spain]. / Infección urinaria y sensibilidad antibiótica en el sur de la provincia de Albacete.

OBJECTIVES: Describing the bacteriological map of the urinary tract infections (UTI) in our area including intra and extrahospitalized patients during 1997. MATERIAL AND METHODS: Descriptive-retrospective study, 12,937 urocultives were carried out in our laboratory: 847 from hospitalized patients and 12,090 from 15 Health Centres. RESULTS: 1,527 positive cultures (12.6%) were obteined from Health Centre patients and 215 (25.3%) from hospitalized patients. Bacterial distribution was similar between them, except enterocci and negative coagulase estafilococci which were more frequent in hospitalized patients. We have observed a high prevalence of Enterobacter sp. (4%) and Pseudomonas sp. (4%) which disagrees with other studies. E.coli (presents in 69% of the positive urocultives) was widespread resistant to quinolones, pipemidic acid and nitrofuration, while it had high sensitivity to fosfomicin, cephuroxim and amoxicilin-clavulanic acid. CONCLUSIONS: The level of resistance to the quinolones is considerable in our area, so clinicians should give them up in empirical treatment and use fosfomicine, cephuroxime or amoxicilin-clavulanic acid.